Li Yue, Tang Jiaxing, Chen Gaopeng
School of Physical Education, Huaibei Normal University, Huaibei, China.
School of Physical Education, Xiangnan University, Chenzhou, China.
Behav Sleep Med. 2025 May-Jun;23(3):341-359. doi: 10.1080/15402002.2025.2475911. Epub 2025 Mar 18.
This study aims to evaluate the effect of meditation-based mind-body interventions (MBIs) (Mindfulness, Tai Chi, Yoga, and Qigong) for older adults with poor sleep quality.
Poor sleep quality exerts negative impact on life quality of old adults. The meditation-based mind-body interventions, with merits of simplicity, practicality, accessibility, and widespread dissemination, have been widely used to improve sleep in the older adults. However, the effects of MBIs on sleep quality of old adults are largely unknown.
A comprehensive systematic review and meta-analysis were carried out following the PRISMA-P guidelines. Embase, PubMed, CINAHL, PsycINFO, Cochrane Library, Web of Science, and CNKI databases were searched to gather randomized controlled trials (RCTs) on the effects of MBIs on older adults with poor sleep quality. Study quality was evaluated by the Cochrane Risk of Bias tool.
This study included 11 randomized controlled trials (with 1,052 participants) published between 2008 and 2023. Compared to the control group, there was a significant improvement in sleep quality (SMD= -0.66, 95%CI [-0.894, -0.426], P<0.00001), depression (SMD=-1.60, 95% CI [-1.89, 0.23], P=0.005), and anxiety (SMD= -1.46, 95% CI [-3.67, 0.75], P=0.026) for older adults with poor sleep quality. However, there was no statistically significant difference in the treatment effect for stress (SMD= -4.45, 95% CI [-10.24, 1.35], P=0.196).
Meditation-based mind-body interventions significantly improved the sleep quality of older adults with poor sleep quality. Nevertheless, more evidence is needed to support this.
The protocol for this study was registered with PROSPERO (CRD42023445082). https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=445082.
CRD42023445082.
本研究旨在评估基于冥想的身心干预措施（MBIs，包括正念、太极拳、瑜伽和气功）对睡眠质量不佳的老年人的影响。
睡眠质量差会对老年人的生活质量产生负面影响。基于冥想的身心干预措施具有简单、实用、易获取且传播广泛的优点，已被广泛用于改善老年人的睡眠。然而，MBIs对老年人睡眠质量的影响在很大程度上尚不清楚。
按照PRISMA-P指南进行了全面的系统评价和荟萃分析。检索了Embase、PubMed、CINAHL、PsycINFO、Cochrane图书馆、科学引文索引数据库和中国知网数据库以收集关于MBIs对睡眠质量不佳的老年人影响的随机对照试验（RCT）。研究质量通过Cochrane偏倚风险工具进行评估。
本研究纳入了2008年至2023年发表的11项随机对照试验（共1052名参与者）。与对照组相比，睡眠质量不佳的老年人在睡眠质量（标准化均数差[SMD]= -0.66，95%置信区间[-0.894, -0.426]，P<0.00001）、抑郁（SMD=-1.60，95%置信区间[-1.89, 0.23]，P=0.005）和焦虑（SMD= -1.46，95%置信区间[-3.67, 0.75]，P=0.026）方面有显著改善。然而，在压力方面的治疗效果没有统计学上的显著差异（SMD= -4.45，95%置信区间[-10.24, 1.35]，P=0.196）。
基于冥想的身心干预措施显著改善了睡眠质量不佳的老年人的睡眠质量。然而，仍需要更多证据来支持这一点。
本研究的方案已在PROSPERO（CRD42023445082）注册。https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=445082。
PROSPERO注册号：CRD42023445082。
